Active NPI
Barbara J Timby
- Registered Nurse
- Three Rivers, MI
National Provider Identifier
1508018532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704069269
- Practice address
- 210 S Main St
Three Rivers, MI 49093 - Phone
- (269) 273-5000
- Fax
- (269) 273-9456
- NPI assigned
- Oct 22, 2008
- Last updated
- Oct 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704069269 | MI | Primary |
Addresses
Primary practice location
210 S Main St
Three Rivers, MI 49093
Mailing address
210 S Main St
Three Rivers, MI 49093
Phone (269) 273-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1708146 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704069269 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Mental Health Services of St Joseph County | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Community Mental Health and Substance Abuse Services of St Joseph Coun
- Community/Behavioral Health Agency
- Centreville, MI
- NPI 1366438483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224633600000",
"number": "1508018532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 S MAIN ST",
"city": "THREE RIVERS",
"state": "MI",
"postal_code": "49093",
"telephone_number": "269-273-5000",
"fax_number": "269-273-9456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 S MAIN ST",
"city": "THREE RIVERS",
"state": "MI",
"postal_code": "49093",
"telephone_number": "269-273-5000",
"fax_number": "269-273-9456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMBY",
"first_name": "BARBARA",
"middle_name": "J",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-22",
"last_updated": "2008-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704069269",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1708146",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Three Rivers, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.